严重肢体创伤患者自我关怀现状及其影响因素分析

Analysis on status and influencing factors of self-care of patients with severe limb trauma

目的:了解严重肢体创伤患者自我关怀水平并分析其影响因素,为身体康复期的患者制定心理或肢体康复措施提供参考。方法:采用自我怜悯、焦虑/抑郁、自尊、自我效能及社会支持量表对钦州市某三级甲等医院的245例严重肢体创伤患者进行调查。结果:严重肢体创伤患者的自我关怀得分为(65.29±11.13)分。回归分析显示,社会支持、焦虑、抑郁、自我效能、自理能力是严重肢体创伤患者自我关怀水平的主要影响因素,可解释其总变异的29.6%。结论:严重肢体创伤患者自我关怀处于中等偏下水平、影响因素较多,建议医护人员根据患者病情和心理状态提供针对性干预方案,以提高其自我关怀水平。

Objective:To assess the level of self-care among patients with severe limb trauma and analyze the influencing factors,providing reference for the development of psychological or physical rehabilitation measures during the recovery period.Methods:A survey was conducted using scales for self-compassion,anxiety/depression,self-esteem,self-efficacy,and social support among 245 patients with severe limb trauma at a Class A tertiary hospital in Qinzhou City.Results:The self-care score for patients with severe limb trauma was 65.29±11.13.Regression analysis indicated that social support,anxiety,depression,self-efficacy,and self-care ability are the main factors influencing self-care levels in these patients,accounting for 29.6%of the total variance.Conclusion:The self-care level of patients with severe limb trauma is at a moderately low level,with numerous influencing factors.It is recommended that specialized healthcare professionals develop targeted intervention plans based on the patients′conditions and psychological states to improve their self-care levels.